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Rental Application
Click here to download
the application (PDF)
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our sample lease (PDF)
Application
Desired Rental Address/Building Name
Personal Information
First Name:
*
Middle Initial:
Last Name:
*
Date of Birth:
Birth Place:
*
Current Address:
*
City
*
State
*
Zip
*
How Long at this Address:
*
Current Home Phone:
*
Cell Phone:
*
Current Work Phone:
Current E-mail Address:
*
Are you a Student?
Yes
No
What year & Major?
Do you have a pet?
Yes
No
If YES, what kind:
Names of Roommates:
Current Leasing Information
Have you ever rented a house or apartment:
*
Yes
No
Present Landlord's Name:
Present Landlord's Phone #:
Previous Address:
Previous Address City/State/Zip:
Previous Landlord's Name:
Previous Landlord's Phone:
Legal Questions
Have you ever been evicted from a rental unit?
*
Yes
No
If YES, why:
Have you ever been sued for non-payment of rent?
*
Yes
No
If YES, why:
Do you currently have any outstanding judgments against you?
*
Yes
No
Financial Background
Have you ever failed to timely pay rent?
*
Yes
No
Have you ever filed for bankruptcy?
*
Yes
No
Permanent Address Information (Parents)
Parents' Names:
Permanent Address:
Permanent City:
State:
Zip:
Permanent Phone:
Parent's Work Phone:
Payment Information
Share Your Responsibility for Rent?:
*
Self
Parents
Parents/Self
Financial Aid
Employment Information
Current Employer:
Current Occupation:
Full-Time or Part-Time:
Current Employer's Address:
Employer's Contact Name:
Current Employer's Phone:
Length of Time with Employer:
Current Salary:
Current Source of Income:
*
Spouse's Employer:
Spouse's Employer's Address:
Spouse's Employer's Phone #:
Spouse's Wage:
Vehicle Information
Vehicle Make/Model:
Vehicle License Plate #:
State Vehicle is Registered:
Emergency Contact Information
Emergency Contact's Name:
*
Emergency Contact's Relationship:
*
Emergency Contact's Phone:
*
Emergency Contact's Address:
*
Emergency Contact's City:
*
State:
*
Zip:
*
By typing "I agree" below, I certify that the answers are correct and that I/We have accurately completed this application. I/We authorize Deckard Homes and Apartments to conduct an employment/credit check and to obtain any other reports necessary concerning me/us as deemed necessary concerning my/our application and to verify all references. I/We understand that such reports may include and are not limited to my credit history, civil and criminal information, arrest records, rental history, employment and financial history, vehicle records, licensing records, and any other information deemed necessary. I/We declare that all information listed on this application is true and accurate.
Date
*
I Agree
*
(Type "I AGREE")
Applicant's Full Name:
*
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